Individual
MS. SHENANDOAH CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCPC
Contact information
Practice address
34930 N US HIGHWAY 45, SUITE 101, LAKE VILLA, IL 60046-7537
(847) 543-7755
(847) 543-7759
Mailing address
34930 N US HIGHWAY 45, SUITE 101, LAKE VILLA, IL 60046-7537
(847) 543-7755
(847) 543-7759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NCC CERT # 22818
—
101YP2500X
Professional Counselor
2906-125
WI
101YP2500X
Professional Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169887
MHN PROVIDER #
IL
Enumeration date
08/31/2006
Last updated
09/11/2025
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